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NPI Code Detail

MEDICARE: ON THE GO THERAPY SERVICES INC

MEDICARE: ON THE GO THERAPY SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DE8062OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y923KOTHERFLBLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1083672984
Entity Type Code : Organization
Provider Name (Legal Business Name) : ON THE GO THERAPY SERVICES INC
Provider Business Mailing Address
First Line : 5968 CLARK CENTER AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2715
Country : US
Telephone Number : 941-922-8200
Fax Number : 941-343-9402
Provider Business Practice Location Address
First Line : 5968 CLARK CENTER AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2715
Country : US
Telephone Number : 941-922-8200
Fax Number : 941-343-9402
Authorized Official
Title or Position : PRESIDENT
Name : MRS. JULIE A BLANK
Credential : PT
Telephone Number : 941-922-8200
Provider Enumeration Date : 05/02/2006
Last Update Date : 05/07/2015

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Directions to “ON THE GO THERAPY SERVICES INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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